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Lung and Bronchus Cancer Rates by State, 2007



Rank

Male Incidence

Rate per 100,000

Male Deaths

Rate per 100,000

Female Incidence

Rate per 100,000

Female Deaths

Rate per 100,000










1

Kentucky

123.9

Kentucky

100.7

Kentucky

78.5

Kentucky

55.6

2

Mississippi

117.4

Mississippi

98.2

W. Virginia

73.2

W. Virginia

50.8

3

Arkansas

111.8

Tennessee

91.5

Maine

65.4

Delaware

50.3

4

West Virginia

108.0

Alabama

90.2

Vermont

65.2

Nevada

48.6

5

Oklahoma

106.3

West Virginia

87.6

Delaware

64.1

Vermont

48.3

6

Tennessee

103.2

Oklahoma

85.4

Michigan

63.0

Oklahoma

48.3

7

Alabama

101.1

Arkansas

84.7

Oklahoma

62.4

New Hampshire

48.0

8

Missouri

98.0

Indiana

81.4

Indiana

62.2

Arkansas

47.3

9

Louisiana

97.7

Louisiana

80.5

Missouri

61.6

Tennessee

47.2

10

N. Carolina

96.3

N. Carolina

80.2

Rhode Island

61.6

Indiana

47.0

11

Rhode Island

96.0

Missouri

79.1

Tennessee

60.8

Maine

46.5

12

Indiana

95.8

S. Carolina

78.8

Connecticut

60.0

Missouri

46.5

13

Maine

94.9

Ohio

78.0

Illinois

59.9

Montana

45.9

14

Georgia

92.9

Georgia

76.8

Arkansas

59.8

Ohio

45.6

15

S. Carolina

92.4

Rhode Island

71.6

Louisiana

59.3

Michigan

45.0

16

Ohio

90.3

Maine

70.4

Pennsylvania

59.0

Washington

44.6

17

Delaware

89.3

Michigan

70.3

N. Carolina

58.7

Alaska

43.9

18

Illinois

88.5

Alaska

70.0

Montana

58.6

Illinois

43.9

19

Pennsylvania

87.5

Kansas

70.0

Massachusetts

58.6

Rhode Island

43.8

20

Kansas

85.8

Virginia

69.9

Oregon

57.7

Louisiana

43.4

21

Michigan

85.7

Pennsylvania

68.6

New Hampshire

57.3

Massachusetts

42.9

22

Iowa

81.5

Illinois

68.4

Ohio

56.9

Oregon

42.8

23

New Hampshire

80.5

Iowa

67.8

New Jersey

56.6

N. Carolina

41.8

24

Virginia

80.5

Vermont

67.7

Iowa

56.2

Wyoming

41.6

25

Texas

79.7

Delaware

66.2

Georgia

56.1

Maryland

41.2

26

Nebraska

79.4

Nebraska

66.1

Florida

55.9

Virginia

41.2

27

Florida

78.6

S. Dakota

64.1

Washington

55.4

Iowa

41.1

28

Vermont

77.6

Texas

63.4

Mississippi

55.4

Alabama

40.9

29

Connecticut

76.2

Maryland

63.2

Alabama

55.1

Mississippi

40.5

30

Alaska

76.2

Massachusetts

62.6

New York

54.7

Pennsylvania

40.2

31

New York

76.1

District of Columbia

61.5

Nebraska

54.5

Connecticut

40.1

32

New Jersey

76.1

Wisconsin

61.4

Maryland

54.2

S. Carolina

39.9

33

Maryland

74.2

Florida

60.5

S. Carolina

53.3

Georgia

39.7

34

S. Dakota

73.8

New Hampshire

60.4

Kansas

52.3

Florida

39.2

35

Massachusetts

72.0

Nevada

60.1

Minnesota

50.6

New Jersey

39.0

36

Montana

71.7

Oregon

59.1

Wisconsin

50.5

Wisconsin

38.9

37

N. Dakota

71.6

Montana

59.1

Virginia

49.1

Kansas

37.6

38

Wisconsin

71.2

New Jersey

58.9

Texas

48.4

District of Columbia

37.5

39

Hawaii

68.4

Minnesota

57.9

Alaska

48.2

Minnesota

36.9

40

District of Columbia

68.3

Washington

56.6

Arizona

47.3

New York

36.7

41

Oregon

68.2

New York

55.0

Idaho

47.2

Nebraska

36.5

42

Minnesota

67.1

Connecticut

54.4

Colorado

45.9

Texas

36.0

43

Washington

66.5

N. Dakota

52.8

Wyoming

45.7

Idaho

34.1

44

Idaho

64.1

Wyoming

52.3

S. Dakota

43.9

S. Dakota

34.0

45

California

59.8

Idaho

51.3

California

43.7

California

32.9

46

Arizona

58.3

Hawaii

50.0

District of Columbia

42.0

N. Dakota

32.5

47

Colorado

57.7

Arizona

48.6

N. Dakota

41.7

Colorado

32.1

48

New Mexico

53.4

California

48.5

New Mexico

37.3

Arizona

31.8

49

Wyoming

49.1

New Mexico

46.2

Hawaii

37.0

New Mexico

31.1

50

Utah

32.0

Colorado

45.2

Utah

21.6

Hawaii

25.2

51

*

*

Utah

26.4

*

*

Utah

18.5


* No incidence rates reported for Nevada.

 

 

Comparing Cancer Data


When reviewing a state’s lung cancer rates, it is common for people to question and look for explanations as to why their state has a higher incidence or death rate as compared to other states or to the national average. The following points should be kept in mind when comparing these rankings.


  • Racial and Ethical Population Differences

    Certain cancers have different incidence rates for different racial and ethnic populations, for instance, breast cancer incidence rates are typically higher in white women than in women of other racial and ethnic populations, while prostate cancer incidence rates are higher in black men. Therefore, when making comparisons of cancer rates across states, the racial makeup of the state’s population must be taken into account.


  • Population and Health Behaviors

    Some differences in cancer rates among states may be explained by differences in known risk factors among the populations of those states, for example, higher rates of lung cancer are found in states with higher smoking rates. Although environmental carcinogens may be responsible for some cancer cases, the majority of cases appear to be lifestyle related.


  • Differences in Medical Care

    Variations in medical care among states may also result in differences in cancer rates. In states where higher percentages of people participate in cancer screenings, more cancers are diagnosed early when prognosis is often better.


  • Influence of Aging

    The likelihood of cancer increases with age therefore rates are adjusted for age so that states can be compared without regard to the differences in the age distribution of their populations.


  • Measuring Burden

    The importance of cancer as a public health problem in a state is more the absolute rate of cancer rather than the state’s relative ranking in incidence or mortality. For example, Utah has proportionately fewer smokers than other states and also has the lowest lung cancer incidence among the states however, in Utah more people die from lung cancer than from any other cancer.


  • Completeness of Incidence Data

    States contribute cancer incidence data if their registries collected 90% or more of the cancers diagnosed. Because states vary in their completeness from 90% - 100%, rankings may vary slightly because of differences in reporting completeness.